Non-steroidal anti-inflammatory drugs and clinical outcomes in patients with COVID-19
Frontiers in cellular and infection microbiology
; 12, 2022.
Article
in English
| EuropePMC | ID: covidwho-2093196
ABSTRACT
The use of non-steroidal anti-inflammatory drugs (NSAIDs) in patients with coronavirus disease 2019 (COVID-19) has raised great concerns. The effect of NSAIDs on the clinical status of COVID-19 remains in question. Therefore, we performed a post-hoc analysis from the ORCHID trial. Patients with COVID-19 from the ORCHID trial were categorized into two groups according to NSAID use. The 28-day mortality, hospitalized discharge, and safety outcomes with NSAIDs for patients with COVID-19 were analyzed. A total of 476 hospitalized patients with COVID-19 were included;412 patients (86.5%) did not receive NSAIDs, while 64 patients (13.5%) took NSAIDs as regular home medication. Patients who took NSAIDs did not have a significant increase in the risk of 28-day mortality (fully adjusted hazard ratio [HR] 1.12, 95% CI 0.52–2.42) in the Cox multivariate analysis. Moreover, NSAIDs did not decrease hospital discharge through 28 days (fully adjusted HR 1.02, 95% CI 0.75–1.37). The results of a meta-analysis including 14 studies involving 48,788 patients with COVID-19 showed that the use of NSAIDs had a survival benefit (summary risk ratio [RR] 0.70, 95% CI 0.54–0.91) and decreased the risk of severe COVID-19 (summary:
RR 0.79, 95% CI 0.71–0.88). In conclusion, the use of NSAIDs is not associated with worse clinical outcomes, including 28-day mortality or hospital discharge in American adult hospitalized patients with COVID-19. Based on current evidence, the use of NSAIDs is safe and should not be cautioned against during the COVID-19 pandemic. Ongoing trials should further assess in-hospital treatment with NSAIDs for patients with COVID-19.
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Collection:
Databases of international organizations
Database:
EuropePMC
Type of study:
Prognostic study
Language:
English
Journal:
Frontiers in cellular and infection microbiology
Year:
2022
Document Type:
Article
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